IndividualActive
Kelly Knickerbocker, CNM
NPI 1912863416 · Midwife · Rochester, NY
Kelly Knickerbocker, CNM is a Midwife provider in Rochester, NY (NPI 1912863416).
Provider details
- NPI number
- 1912863416
- Entity type
- Individual
- Primary specialty
- MidwifeOther Service Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- License
- 002473 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1415 Portland Ave Ste 400
Rochester, NY 14621-3022
Phone: (585) 922-4200
Fax: (585) 922-4922
Street-level locationGet directions
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Additional practice locations (3)
- 222 Alexander St Ste 1100Rochester, NY 14607-4005Phone: (585) 922-8585Fax: (585) 922-8555
- 293 Upper Falls BlvdRochester, NY 14605-2184Phone: (585) 922-0260Fax: (585) 922-0240
- 2000 Empire Blvd Ste 200Webster, NY 14580-1957Phone: (585) 922-0374Fax: (585) 922-4023
Registry dates
- Enumerated
- 2025-12-29
- Last updated
- 2026-03-23
- Certified
- 2026-03-23
Frequently asked questions
- What is Kelly Knickerbocker's NPI number?
- Kelly Knickerbocker's National Provider Identifier (NPI) is 1912863416, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Knickerbocker's specialty?
- Kelly Knickerbocker is listed in the NPPES registry with a primary specialty of Midwife (Other Service Providers).
- Where is Kelly Knickerbocker located?
- Kelly Knickerbocker's practice location on file with NPPES is 1415 Portland Ave Ste 400, Rochester, NY 14621-3022.
- What is Kelly Knickerbocker's phone number?
- The practice phone number listed in the NPPES registry for Kelly Knickerbocker is (585) 922-4200.
- Is Kelly Knickerbocker's NPI active?
- Yes — Kelly Knickerbocker's NPI (1912863416) is active in the NPPES registry as of the last update on 2026-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.